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Jones Jig 和 Distal Jet 治疗 II 类错颌畸形的效果,随后使用固定矫治器。

Class II malocclusion treatment effects with Jones Jig and Distal Jet followed by fixed appliances.

出版信息

Angle Orthod. 2018 Jan;88(1):10-19. doi: 10.2319/022517-142.1. Epub 2017 Oct 6.

DOI:10.2319/022517-142.1
PMID:28985105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8315717/
Abstract

OBJECTIVES

To compare the skeletal, dentoalveolar, and soft tissue changes in Class II malocclusion patients treated with Jones Jig and Distal Jet distalizers followed by fixed appliances.

MATERIALS AND METHODS

The experimental groups comprised 45 Class II malocclusion subjects divided into two groups. Group 1 consisted of 25 patients treated with the Jones Jig, and group 2 consisted of 20 patients treated with the Distal Jet. Group 3 comprised 19 untreated Class II subjects. Cephalograms were analyzed before and after orthodontic treatment. For intergroup comparisons, one-way analysis of variance and post hoc Tukey tests were performed.

RESULTS

During treatment, the experimental groups exhibited significant increases in occlusal plane inclination and maxillary second molar mesial tipping. Additionally, the molar relationship improved and overjet decreased significantly in the experimental groups. The Jones Jig group showed greater mandibular incisor proclination and greater overbite reduction than the control group. No significant intergroup differences in nasolabial angle changes were found.

CONCLUSIONS

Treatment protocols using the Jones Jig and Distal Jet followed by fixed appliances were effective in correcting Class II malocclusion by means of dentoalveolar changes without significant skeletal and soft tissue changes. The experimental groups showed occlusal plane clockwise rotation and greater mesial tipping of maxillary second molars when compared to the untreated group.

摘要

目的

比较使用 Jones Jig 和 Distal Jet 远移器治疗的 II 类错颌患者的骨骼、牙颌和软组织变化,以及随后使用固定矫治器的治疗效果。

材料和方法

实验组由 45 名 II 类错颌患者组成,分为两组。第 1 组由 25 名使用 Jones Jig 的患者组成,第 2 组由 20 名使用 Distal Jet 的患者组成。第 3 组由 19 名未经治疗的 II 类患者组成。在正畸治疗前后分析头颅侧位片。为了进行组间比较,采用单因素方差分析和事后 Tukey 检验。

结果

在治疗过程中,实验组的咬合平面倾斜度和上颌第二磨牙近中倾斜显著增加。此外,实验组的磨牙关系得到改善,覆盖减小。与对照组相比,Jones Jig 组的下颌切牙前倾更大,覆盖减小更多。鼻唇角变化无显著组间差异。

结论

使用 Jones Jig 和 Distal Jet 治疗后再使用固定矫治器的治疗方案通过牙颌变化有效纠正 II 类错颌,而骨骼和软组织变化不明显。与未经治疗组相比,实验组的咬合平面呈顺时针旋转,上颌第二磨牙近中倾斜更大。

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本文引用的文献

1
Upper-Molar Distalization and the Distal Jet.上颌磨牙远中移动与远中推磨牙矫治器
J Clin Orthod. 2016 Mar;50(3):159-69.
2
Intraoral distalizer effects with conventional and skeletal anchorage: a meta-analysis.口腔内远移器的常规和骨骼锚固效果:荟萃分析。
Am J Orthod Dentofacial Orthop. 2013 May;143(5):602-15. doi: 10.1016/j.ajodo.2012.11.024.
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Correction of Class II malocclusion with Class II elastics: a systematic review.II 类错颌畸形的 II 类弹性矫正:系统评价。
Am J Orthod Dentofacial Orthop. 2013 Mar;143(3):383-92. doi: 10.1016/j.ajodo.2012.10.015.
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Are orthodontic distalizers reinforced with the temporary skeletal anchorage devices effective?正畸远移器结合临时骨锚固装置是否有效?
Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):722-9. doi: 10.1016/j.ajodo.2011.01.019.
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Am J Orthod Dentofacial Orthop. 2009 Mar;135(3):336-42. doi: 10.1016/j.ajodo.2007.01.035.
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Relationship between malocclusion severity and treatment success rate in Class II nonextraction therapy.安氏II类不拔牙矫治中错(牙合)严重程度与治疗成功率的关系。
Am J Orthod Dentofacial Orthop. 2009 Mar;135(3):274.e1-8; discussion 274-5. doi: 10.1016/j.ajodo.2008.10.005.
7
Comparison of the effects produced by headgear and pendulum appliances followed by fixed orthodontic treatment.头帽与摆式矫治器联合固定正畸治疗的效果比较。
Eur J Orthod. 2008 Dec;30(6):572-9. doi: 10.1093/ejo/cjn060.
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